消化道吻合器在食管胃超胸顶吻合中的作用

目的：总结分析机械吻合用于食管胃胸内超胸顶吻合的临床意义，方法：使用管状吻合器对98例食管癌行食管胃超胸顶吻合，结果：所有病例吻合均一次完成，无手术死亡，亦无吻合口漏及喉返神经胸导管损伤，吻合口狭窄发生率为2．04％（2／98），切除端癌残留率1．02％（1／98），结论：胸内食管胃超胸顶机械吻合术可扩大食管癌切除范围，近似颈部吻合，吻合简便，省时，可靠，安全。

Application of digestive tract anastomotic device in super-cupula pleurae anastomosis of the esophagus and stomach.

OBJECTIVE: To evaluate the clinical value of mechanical anastomosis in super-cupula pleurae anastomosis (using mechanical anastomosis connecting esophagus and stomach above the diaphragm) of the esophagus and stomach within the thoracic cavity. METHODS: A total of 98 cases of esophageal carcinoma were treated surgically by super-cupula pleurae anastomosis of the esophagus and stomach by anastomotic tube. RESULTS: All anastomoses were completed in single attempt without mortality among the patients, who did not show signs of fistula of anastomosis or injury to recurrent laryngeal nerve and ductus thoracicus. The incidence of anastomosis stricture was 2.04 %(2/98), with tumor remnant rate of the resected end of 1.02 % (1/98). CONCLUSION: Mechanical esophagus and stomach anastomosis of super-cupula pleurae in the thoracic cavity can expand the scope eligible for resection in esophageal carcinoma, resembling neck anastomosis that is simple, quick, dependable and safe.